Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Michelle Simha

Audiologist โ€ข North Miami, FL

Active NPI 1699121145 Individual Practitioner Female Practitioner
Practice location in NPPES

2232 Ne 123rd St
North Miami, FL 331812904

Call 7863427151 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2232 Ne 123rd St

North Miami, FL 331812904

Telephone 7863427151
Fax 3058953436
Organization at the Same NPPES Address or Phone
Connect Hearing, Inc Facility NPI 1417349200

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare-allowed amount

About $3,640 in 2018

The total amount Medicare approved for these services in 2018. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2018.

Paid by Medicare

About $2,851 in 2018

The part of the Medicare-allowed amount that Medicare itself paid in 2018, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2018.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Michelle Simha has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in North Miami and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Michelle Simha are from 2018.

2 active clinicians are listed under Audiologist with a practice address in North Miami, FL (1,404 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2018), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2018.

CMS Part B ยท Data Year 2018

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2018; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
92557 Comprehensive hearing and speech recognition test
65 64 $90.00 $38.95
92567 Test to assess middle ear function
43 42 $45.00 $14.89
92550 Test for eardrum and muscle function
21 21 $105.00 $22.30

Source: CMS Part B by Provider and Service, 2018; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-09-01
Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

License # reported to NPPES CA AY2036

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Audiologist

NUCC Taxonomy Code: 231H00000X

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Audiologist-Hearing Aid Fitter

NUCC Taxonomy Code: 237600000X

License # reported to NPPES CA AY2036

An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists".

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED AUDIOLOGIST

Medicare Enrollment ID

I20181018001539

Enrollment State Jurisdiction

FL

PECOS Control ID

5991057085

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ“
Updated Practice Location September 01, 2022

Registered at 2232 NE 123RD ST, NORTH MIAMI, FL 331812904 (Tel: 7863427151)

๐Ÿ“
Updated Business Mailing Address September 01, 2022

Registered at 750 N COMMONS DR STE 200, AURORA, IL 605047940 (Tel: 6303035380)

โœ…
NPI Profile Active May 13, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 13, 2016

Registered at 12636 TAMIAMI TRL E, NAPLES, FL 341138431 (Tel: 2395927212)

๐Ÿ“
Business Mailing Address (Initial Record) May 13, 2016

Registered at 12636 TAMIAMI TRL E, NAPLES, FL 341138431

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 13, 2016

Recorded as MICHELLE SIMHA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2016

Audiologist

๐ŸŸข
Initial NPI Registration & Enumeration May 13, 2016

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1699121145
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2016
Last Update: September 01, 2022
Sole Proprietor: No

Mailing Address

750 N Commons Dr Ste 200

Aurora, IL 605047940

Phone: 6303035380

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.